| NPI | 1841579570 |
|---|---|
| Former Name | YANA YURIVNA YEGIAZAROVA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG002536) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV007785) |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2014-01-22 |